Dr. Alex Jimenez, El Paso's Chiropractor
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Low Back Issues: Lumbar Herniated Discs

A shooting, stabbing pain that travels from your back or buttocks into the thighs, legs, and foot is called sciatica or radiculopathy. It can be associated with weakness or numbness in your foot and leg. The most frequent cause of the condition is a ruptured disk (also called a herniated disc or bulging disc) in the lower spine. In this report, we will examine disk problems of the lower back, also known as lumbar disc disease.

Anatomy of the Lumbar Spine

The lumbar spine comprises the last five vertebrae of the backbone. The vertebrae are the bones of your spine. Their role is to protect and support the body, particularly the spinal cord.

The facet joints enable the vertebrae to be connected. They provide connections between each vertebra.

An intervertebral disc sits between each vertebra. The annulus fibrosus is the outer ring and will be the disc’s strongest aspect. It is responsible for connecting the vertebrae. The nucleus pulposus is the soft part of the disc. This material is accountable for its shock absorption properties and has about the consistency of crab meat.

The spine’s nerve roots carry signals involving the lower extremities and the brain that enable us to move our legs (motor function) and perceive sensations such as touch, temperature, and pain (sensory function).

To better understand how each other is affected by the parts of the spine, we must first focus on a spinal segment. A spinal segment is made up of the intervertebral disk between 2 vertebrae, and both nerve roots depart from that spinal degree, one from each side.

Herniated Disc Axial Diagram - El Paso Chiropractor

 

The discs have cartilaginous endplates at the bottom, and the top and are surrounded by the annulus. The fibrous tissue (annulus fibrosus) constraining the soft disc material (nucleus pulposus) can tear during degeneration or injury. This may result in bulging (protrusion) of this disk or even extrusion of disc material into the spinal canal or neural foramen. This condition becomes what is best known as a prolapsed disc, ruptured disc, or herniated disc.

Lumbar Herniated Discs

Among the most common problems of the lower spinal column are herniated discs. In this state, a tear in an annulus fibrosus enables the nucleus pulposus to squeeze into the spinal cord canal.

Herniated Disc X Ray - El Paso Chiropractor

 

Circled Herniated Disc MRI - El Paso Chiropractor

When a nerve root is compressed by the disk material, there can be pain, numbness, and fatigue in the areas supplied by the nerve (often down the rear of a leg). It is not strange for the back itself to be painless. Thus, a herniated lumbar disc characteristically produces leg and buttock pain but not back pain. This pain is termed sciatica or radiculopathy.

Numbness will often lead after the function of the nerve root is impaired due to compression. The subject of numbness is determined by the root and might be in the ankle, the heel, the big toe, the outer leg, or a combination of these. Impairment of the motor function of this origin will lead to weakness, which depends on the special root.

Disc Level  Root Comp.  Weakness  Reflex Involvement  Sensory Loss  Pain Distribution
 L3-L4  L4  quadriceps, tibialis anterior  knee jerk medial knee and shin  anterior thigh
 L4-L5  L5  extension of the big toe  no significant  big toe  back of thigh, lateral calf
L5-S1  S1  gastrocnemius (ankle plantar flexion)  Achilles  lateral foot and heel  back of thigh and calf

 

In herniated discs, the L5-S1 intervertebral disc is involved 45 to 50 percent of the time, L3-L4 about 5 percent, and L4-L5 about 40 to 45 percent. Disc herniation at the opposite lumbar levels is uncommon.

In most cases, the nerve root that has been compacted is the one exiting the level below the disk.

But suppose the herniation is lateral (on the side of the intervertebral disk, as opposed to a central disk herniation in the center of the disk). In that case, the root compacted will be the one departing over. This is known as a far lateral disc herniation and occurs in about 3 percent to 10 percent of instances.

It’s also important to be aware that while the indications outlined in Table 1 (see above) are helpful in the identification and decision making regarding kind of treatment, not all of the symptoms and signs associated with a root might be present in a person, and multiple origin signs may even be present.

Additional Topics: Sciatica

Lower back pain is one of the most commonly reported symptoms among the general population. Sciatica is a well-known group of symptoms, including lower back pain, numbness, and tingling sensations, which often describe the source of an individual’s lumbar spine issues. Sciatica can be due to various injuries and/or conditions, such as spinal misalignment, subluxation, disc herniation, and even spinal degeneration.

 

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Professional Scope of Practice *

The information herein on "Low Back Issues: Lumbar Herniated Discs" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.

Blog Information & Scope Discussions

Our information scope is limited to Chiropractic, musculoskeletal, acupuncture, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.*

Our office has reasonably attempted to provide supportive citations and has identified the relevant research studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182

Licensed as a Registered Nurse (RN*) in Florida
Florida License RN License # RN9617241 (Control No. 3558029)
Compact Status: Multi-State License: Authorized to Practice in 40 States*

Presently Matriculated: ICHS: MSN* FNP (Family Nurse Practitioner Program)

Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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Our Purpose & Passions: I am a Doctor of Chiropractic specializing in progressive, cutting-edge therapies and functional rehabilitation procedures focused on clinical physiology, total health, practical strength training, and complete conditioning. We focus on restoring normal body functions after neck, back, spinal and soft tissue injuries.

We use Specialized Chiropractic Protocols, Wellness Programs, Functional & Integrative Nutrition, Agility & Mobility Fitness Training, and Rehabilitation Systems for all ages.

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Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

phone: 915-850-0900

Licensed in Texas & New Mexico *

Dr. Alex Jimenez DC, MSACP, CIFM, IFMCP, ATN, CCST
My Digital Business Card

Post Disclaimer

Professional Scope of Practice *

The information herein on "What You Need to Know About Spinal Decompression for Lumbar Spinal Stenosis" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.

Blog Information & Scope Discussions

Our information scope is limited to Chiropractic, musculoskeletal, acupuncture, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.*

Our office has reasonably attempted to provide supportive citations and has identified the relevant research studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182

Licensed as a Registered Nurse (RN*) in Florida
Florida License RN License # RN9617241 (Control No. 3558029)
Compact Status: Multi-State License: Authorized to Practice in 40 States*

Presently Matriculated: ICHS: MSN* FNP (Family Nurse Practitioner Program)

Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
My Digital Business Card